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Welcome to VBS Registration!
Parent/Guardian Information
Name - Parent/Guardian
*
First
Last
Address-Parent/Guardian
*
Street Address
City
Postal / Zip Code
Phone-Parent/Guardian
Area Code
-
Phone Number
Parent/Guardian Email
*
Church Affiliation
Additional Contact Information
Please list someone we can contact if the above parent/guardian cannot be reached.
Name - Emergency Contatct
*
First
Last
Phone-Emergency Contact
*
Area Code
-
Phone Number
Supper Information
Do you want to sign up for nightly supper during VBS ($15/person/week)?
*
No VBS Supper
Yes VBS Supper
6502-Please select how many people:
*
1 person
2 people
3 people
4 people
5 people
6 people
VBS Music
6502-Do you wish to purchase a VBS Music CD or Streaming Card($4)?
*
No VBS CD/Streaming Card
Yes - VBS CD
Yes - VBS Streaming Card
VBS Participants
Please indicate how many Vacation Bible School Participants you would like to register.
Choose:
*
1
2
3
4
Child #1
Name 1
*
First
Last
Grade/Age Completed 1
*
K2
K3
K4
K5
1st
2nd
3rd
4th
5th
Date of Birth 1
*
Gender 1
*
Female
Male
Allergy/Medical Concerns 1:
Child #2
Name 2
*
First
Last
Grade/Age Completed 2
*
K2
K3
K4
K5
1st
2nd
3rd
4th
5th
Date of Birth 2
*
Gender 2
*
Female
Male
Allergy/Medical Concerns 2:
Child #3
Name 3
*
First
Last
Grade/Age Completed 3
*
K2
K3
K4
K5
1st
2nd
3rd
4th
5th
Date of Birth 3
*
Gender 3
*
Female
Male
Allergy/Medical Concerns 3:
Child #4
Name 4
*
First
Last
Grade/Age Completed 4
*
K2
K3
K4
K5
1st
2nd
3rd
4th
5th
Date of Birth 4
*
Gender 4
*
Female
Male
Allergy/Medical Concerns 4:
Total
Submit
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